Individual provider Active NPI

Narcisa Del Jesus Intriago, M.D.

  • Internal Medicine Physician
  • Pineville, LA
National Provider Identifier
1427254358
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L#026304 Issued in LA
Practice address
100 Pinecrest Dr.
Pineville, LA 71360-4276
Phone
(318) 641-2000
Fax
(318) 641-2297
NPI assigned
Jun 26, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L#026304 LA Primary

Addresses

Primary practice location

100 Pinecrest Dr.
Pineville, LA 71360-4276

Mailing address

4100 Waterford Dr
Alexandria, LA 71303-2950
Phone (318) 419-4745

Other identifiers 2

IdentifierTypeStateIssuer
29903OtherLASUBSTANCE ABUSED CONTROL
L#026304OtherLAMEDICAL LICENSE

Other names 1

  • Narcisa Del Jesus Tumbaco Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130205000477 LA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2163676875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L#026304LAMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1427254358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 WATERFORD DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032950",
            "telephone_number": "318-419-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PINECREST DR.",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604276",
            "telephone_number": "318-641-2000",
            "fax_number": "318-641-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTRIAGO",
        "first_name": "NARCISA",
        "middle_name": "DEL JESUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "L#026304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSED CONTROL",
            "identifier": "29903",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "L#026304",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NARCISA",
            "last_name": "TUMBACO",
            "middle_name": "DEL JESUS",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.